ABOUT THE SPEAKER
Andrew Bastawrous - Eye surgeon, inventor
Andrew Bastawrous studies eye health -- and builds accessible new tools to bring eye care to more people.

Why you should listen

Andrew Bastawrous is cofounder and CEO of Peek Vision, a social impact organization that uses smartphone technology to radically increase access to eye care in some of the most challenging places in the world. Bastawrous is also an ophthalmologist (eye surgeon) and Associate Professor in International Eye Health at the London School of Hygiene and Tropical Medicine.

Peek's vision app, Peek Acuity, is being used to transform eye health in more than 150 countries. The organization ran one of the top-ten all-time Indiegogo crowd-funding campaigns in the health sector -- for Peek Retina, a smartphone ophthalmoscope -- and was voted "best social-impact start-up in Europe" by Google and McKinsey in 2016. All prize money has been re-invested in Peek.

Bastawrous is working with astrophysicists to crowdsource retinal data; with National Geographic explorers to reach isolated communities; and with artists and activists to advocate for eye care globally. He and his wife Madeleine have established a social enterprise healthy bakery in Kenya that provides employment, with profits paying for eye care.

In 2018, Bastawrous was invited to deliver the Commonwealth Address in the presence of the British Royal Family, where he announced the creation of a new one-billion-dollar Vision Catalyst Fund -- a new vision for international aid.

More profile about the speaker
Andrew Bastawrous | Speaker | TED.com
TED2014

Andrew Bastawrous: Get your next eye exam on a smartphone

Andrew Bastawrous: Napravite vaš sljedeći pregled očiju pomoću pametnog telefona

Filmed:
1,184,953 views

U svijetu je 39 milijuna ljudi slijepo, a većina je izgubila vid zbog bolesti koje su se mogle izliječiti i spriječiti. Ali kako pregledati i liječiti ljude koji žive u zabačenim mjestima, gdje je teško doći do skupe i ogromne opreme? TEDov stipendist Andrew Bastawrous demonstrira aplikaciju za pametni telefon i jeftini hardware koji bi mogli pomoći.
- Eye surgeon, inventor
Andrew Bastawrous studies eye health -- and builds accessible new tools to bring eye care to more people. Full bio

Double-click the English transcript below to play the video.

00:13
There are 39 millionmilijuna people in the worldsvijet
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Na svijetu je 39 milijuna ljudi
00:16
who are blindslijep.
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koji su slijepi.
00:17
EightyOsamdeset percentposto of them
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Njih osamdeset posto
00:20
are livingživot in low-incomeniskim prihodima countrieszemlje suchtakav as KenyaKenija,
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živi u zemljama niskih prihoda poput Kenije,
00:23
and the absoluteapsolutan majorityvećina
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i apsolutna većina
00:25
do not need to be blindslijep.
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ne treba biti slijepa.
00:26
They are blindslijep from diseasesoboljenja
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Oni su oslijepili uslijed bolesti
00:28
that are eitherili completelypotpuno curableizlječiv or preventablespriječiti.
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koje su u potpunosti izlječive
ili se mogu spriječiti.
00:32
KnowingZnajući this, with my youngmladi familyobitelj,
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Znajući ovo, sa svojom mladom obitelji,
00:34
we movedpomaknuto to KenyaKenija.
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preselili smo se u Keniju.
00:36
We securedosiguran equipmentoprema,
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Osigurali smo opremu,
00:37
fundsfondovi, vehiclesvozila, we trainedobučen a teamtim,
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sredstva, vozila, obučili tim ljudi,
00:41
we setset up a hundredstotina clinicsklinike throughoutkroz
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osnovali smo stotinu klinika diljem
00:43
the Great RiftRaskol ValleyDolina
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Doline Velikog Rasjeda (Great Rift Valley)
00:45
to try and understandrazumjeti a singlesingl questionpitanje:
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kako bismo odgovorili na pitanje:
00:48
why are people going blindslijep,
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zašto ljudi gube vid,
00:50
and what can we do?
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i što mi možemo učiniti?
00:53
The challengesizazovi were great.
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Izazovi su bili veliki.
00:56
When we got to where we were going,
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Kada smo stigli do odredišta,
00:58
we setset up our high-techvisoka tehnologija equipmentoprema.
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postavili smo našu visoko-tehnološku opremu.
01:01
PowerMoć was rarelyrijetko availabledostupno.
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Struja je bila rijetko dostupna.
01:03
We'dMi bi have to runtrčanje our equipmentoprema
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Naša oprema je radila pomoću
01:04
from petrolbenzin powervlast generatorsgeneratori.
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generatora na benzin.
01:06
And then something occurreddogodio to me:
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I tada sam se nečeg sjetio:
01:08
There has to be an easierlakše way,
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mora postojati lakši način,
01:11
because it's the patientspacijenti who are the mostnajviše in need
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jer su pacijenti oni kojima je najpotrebniji
01:13
of accesspristup to eyeoko carebriga
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pristup njezi očiju,
01:14
who are the leastnajmanje likelyVjerojatno to get it.
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a koji je najvjerojatnije neće dobiti.
01:17
More people in KenyaKenija,
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Više ljudi u Keniji
01:18
and in sub-Saharansub-saharskoj AfricaAfrika,
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i subsaharskoj Africi
01:20
have accesspristup to a mobilemobilni phonetelefon
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ima pristup mobilnom telefonu
01:22
than they do cleančist runningtrčanje watervoda.
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nego što ih ima čistoj, pitkoj vodi.
01:24
So we said, could we harnessupregnuti
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Zapitali smo se, možemo li iskoristiti
01:26
the powervlast of mobilemobilni technologytehnologija
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snagu mobilne tehnologije
01:27
to deliverdostaviti eyeoko carebriga in a newnovi way?
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kako bismo omogućili njegu očiju na novi način?
01:29
And so we developedrazvijen Peek-Pogled,
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I tako smo razvili Peek,
01:31
a smartphonesmartphone [systemsistem] that enablesomogućuje
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[sustav] za pametne telefone koji omogućuje
01:34
communityzajednica healthcarezdravstvo workersradnici
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zdravstvenim radnicima u zajednici
01:35
and empowersosnažuje them to deliverdostaviti eyeoko carebriga everywheresvugdje, posvuda.
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pružanje njege očiju bilo gdje.
01:39
We setset about replacingzamjena
traditionaltradicionalan hospitalbolnica equipmentoprema,
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Započeli smo sa zamjenom
tradicionalne bolničke opreme,
01:42
whichkoji is bulkyprostran, expensiveskup and fragilelomljiv,
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koja je glomazna, skupa i lako lomljiva,
01:44
with smartphonesmartphone appsaplikacije and hardwarehardver
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sa aplikacijama za pametne telefone i hardwareom
01:46
that make it possiblemoguće to testtest anyonebilo tko
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koji omogućuju testiranje svakoga
01:48
in any languagejezik and of any agedob.
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na bilo kojem jeziku, bilo koje dobi.
01:52
Here we have a demonstrationdemonstracija
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Ovdje imamo primjer
01:53
of a three-month-old3-mjesečna havingima theirnjihov visionvizija
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testiranja vida tromjesečnog djeteta
01:55
accuratelytočno testedtestiran usingkoristeći an appapp and an eyeoko trackermetak sa svijetlećim tragom.
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vrlo precizno koristeći
aplikaciju i očni lokator.
02:03
We'veMoramo got manymnogi trialsispitivanja going on
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Provode se mnoga testiranja
02:05
in the communityzajednica and in schoolsškola,
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u zajednicama i školama,
02:07
and throughkroz the lessonslekcije that
we'veimamo learnednaučeno in the fieldpolje,
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i kroz lekcije koje smo naučili na terenu
02:09
we'veimamo realizedshvatio it's extremelykrajnje importantvažno
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shvatili smo da je veoma važno
02:11
to sharePodjeli the datapodaci in non-medicalNe-medicinskih jargonžargon
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podijeliti podatke na ne-medicinskom žargonu
02:14
so that people understandrazumjeti
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kako bi ljudi mogli razumjeti
02:15
what we're examiningispitivanje and what that meanssredstva to them.
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što ispitujemo i što to znači za njih.
02:18
So here, for exampleprimjer,
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Ovdje, na primjer,
02:19
we use our sightvid simSIM applicationprimjena,
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koristimo aplikaciju za simulaciju vida,
02:21
oncejednom your visionvizija has been measuredizmjerena,
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odredimo kakav je vid,
02:23
to showpokazati carersnjegovatelji and teachersučitelji
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kako bismo pokazali njegovateljima i učiteljima,
02:25
what the visualvidni worldsvijet is like for that personosoba,
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kako ta osoba vidi svijet,
02:28
so they can empathizesuosjećati with them and help them.
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da bi oni mogli suosjećati i pomoći joj.
02:31
OnceJednom we'veimamo discoveredotkriven somebodyneko has lownizak visionvizija,
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Jednom kad identificiramo da netko ima slabi vid,
02:34
the nextSljedeći bigvelika challengeizazov is to work out why,
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sljedeći veliki izazov jest otkriti zašto,
02:36
and to be ableu stanju to do that,
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a da bismo to mogli,
02:38
we need to have accesspristup to the insideiznutra of the eyeoko.
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potreban nam je pristup unutrašnjosti oka.
02:40
TraditionallyTradicionalno, this requirestraži expensiveskup equipmentoprema
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Obično to zahtjeva skupu opremu
02:43
to examineispitati an areapodručje calledzvao the retinaMrežnica.
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kako bi se pregledao dio koji se zove mrežnjača.
02:45
The retinaMrežnica is the singlesingl partdio of the eyeoko that has
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Mrežnjača je dio oka koji sadrži
02:48
hugeogroman amountsiznosi of informationinformacija about the bodytijelo
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brojne informacije o tijelu
02:50
and its healthzdravlje.
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i njegovom zdravlju.
02:51
We'veMoramo developedrazvijen 3D-printedD-tiskano,
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Razvili smo 3D isprintani,
02:53
low-costniska cijena hardwarehardver
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jeftini hardware
02:55
that comesdolazi in at lessmanje than fivepet dollarsdolara to produceproizvoditi,
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čija proizvodnja košta manje od 5 dolara,
02:57
whichkoji can then be clippedošišan ontona a smartphonesmartphone
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i može se pričvrstiti na pametni telefon
03:00
and makesmarke it possiblemoguće to get viewspregleda
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te omogućuje pogled
03:01
of the back of the eyeoko
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u pozadinu oka
03:03
of a very highvisok qualitykvaliteta.
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vrlo visoke rezolucije.
03:04
And the beautyljepota is, anybodyiko can do it.
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A najljepše od svega je što svatko to može učiniti.
03:08
In our trialsispitivanja on over two and halfpola thousandtisuću people,
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U našim istraživanjima s više od dvije i pol tisuće ljudi,
03:10
the smartphonesmartphone with the add-ondodati-na clipspojnica
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pametni telefon s dodatkom
03:12
is comparableusporedivo to a camerafotoaparat
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može se usporediti s kamerom
03:14
that is hugelyiznimno more expensiveskup
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koja je mnogo skuplja
03:16
and hugelyiznimno more difficulttežak to transportprijevoz.
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i puno teža za transportiranje.
03:20
When we first movedpomaknuto to KenyaKenija,
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Kada smo se doselili u Keniju,
03:21
we wentotišao with 150,000 dollarsdolara of equipmentoprema,
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stigli smo sa 150 000 dolara vrijedne opreme,
03:24
a teamtim of 15 people,
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s timom od 15 ljudi,
03:27
and that was what was
neededpotreban to deliverdostaviti healthzdravlje carebriga.
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i to je bilo potrebno kako bi
se omogućila zdravstvena skrb.
03:29
Now, all that's neededpotreban
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Sve što je sada potrebno
03:32
is a singlesingl personosoba
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jest jedna osoba
03:34
on a bikebicikl with a smartphonesmartphone.
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na biciklu s pametnim telefonom.
03:37
And it coststroškovi just 500 dollarsdolara.
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I to košta samo 500 dolara.
03:41
The issueizdanje of powervlast supplyOpskrba
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Problem električne energije
03:43
is overcomesavladati by harnessingiskorištavanje the powervlast of solarsolarni.
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se rješava iskorištavanjem solarne energije.
03:45
Our healthcarezdravstvo workersradnici travelputovati
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Naši zdravstveni radnici putuju
03:46
with a solar-poweredsolarno napajanje rucksackruksak
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s ruksacima na solarnu energiju
03:48
whichkoji keepsčuva the phonetelefon chargedoptužen and backedonaj koji ima potporu up.
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koji osiguravaju da su baterije pune
i sigurnosna kopija zaštićena.
03:50
Now we go to the patientpacijent
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Sada mi idemo do pacijenta
03:53
ratherradije than waitingčekanje for the patientpacijent never to come.
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radije nego čekajući pacijentov eventualan dolazak.
03:55
We go to them in theirnjihov homeskuća
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Ulazimo u njihove domove
03:57
and we give them the mostnajviše comprehensiveopsežan,
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i dajemo im opsežne,
03:59
high-techvisoka tehnologija, accuratetočan examinationpregled,
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visoko tehnološke i točne preglede,
04:01
whichkoji can be deliveredisporučena by
anyonebilo tko with minimalminimalan trainingtrening.
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koje može napraviti bilo tko uz minimalnu obuku.
04:05
We can linkveza globalglobalno expertsstručnjaci
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Možemo povezati svjetske stručnjake
04:08
with people in the mostnajviše ruralruralna,
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s ljudima u najruralnijim,
04:10
difficult-to-reachteško pristupačnim placesmjesta
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teško dostupnim mjestima
04:11
that are beyondIznad the endkraj of the roadcesta,
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koja se nalaze daleko od cesta,
04:12
effectivelyučinkovito puttingstavljanje those expertsstručnjaci in theirnjihov homeskuća,
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i uspješno ih dovodimo u njihove domove,
04:15
allowingomogućujući us to make diagnosesdijagnoza
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što nam omogućuje uspostavljanje dijagnoze
04:17
and make plansplanovi for treatmentliječenje.
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i planiranje lječenja.
04:20
ProjectProjekt managersmenadžeri, hospitalbolnica directorsdirektori,
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Voditelji projekata i bolnica
04:23
are ableu stanju to searchtraži on our interfacesučelje
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mogu pretraživati naše sučelje
04:25
by any parameterparametar they maysvibanj be interestedzainteresiran in.
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prema bilo kojem parametru koji ih zanima.
04:27
Here in NakuruNakuru, where I've been livingživot,
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Ovdje u Nakuru, gdje živim,
04:29
we can searchtraži for people
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mogu se tražiti ljudi
04:30
by whateveršto god conditionstanje.
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prema bilo kojem stanju.
04:31
Here are people who are blindslijep
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Ovdje se nalaze ljudi koji su slijepi
04:33
from a curableizlječiv conditionstanje cataractkatarakt.
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zbog izlječive mrene na oku.
04:35
EachSvaki redcrvena pinigla depictsprikazuje somebodyneko
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Svaka crvena pribadača opisuje osobu
04:37
who is blindslijep from a diseasebolest that is curableizlječiv
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koja je slijepa uslijed izlječive bolesti
04:40
and treatableliječiti, and they're locatablemoguće locirati.
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i može ih se locirati.
04:42
We can use bulkGlavnina texttekst messagingporuka servicesusluge
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Koristimo masovni SMS sustav za slanje poruka
04:44
to explainobjasniti that we're comingdolazak to arrangeorganizirati a treatmentliječenje.
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kako bismo objasnili da dolazimo dogovoriti liječenje.
04:47
What's more, we'veimamo learnednaučeno that this is something
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Štoviše, shvatili smo da je ovo nešto
04:50
that we haven'tnisu builtizgrađen just for the communityzajednica
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što smo uspostavili ne samo za zajednicu
04:52
but with the communityzajednica.
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nego sa zajednicom.
04:53
Those blueplava pinsigle that droppad representpredstavljati
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One plave pribadače predstavljaju
04:56
eldersstarješine, or locallokalne leadersčelnici,
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starješine, ili lokalne vođe,
04:58
that are connectedpovezan to those people
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koji su povezani s tim ljudima
04:59
who can ensureosigurati that we can find them
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i pomažu nam da ih pronađemo
05:00
and arrangeorganizirati treatmentliječenje.
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i dogovorimo terapiju.
05:02
So for patientspacijenti like MamaMama WangariWangari,
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Tako pacijenti poput Mame Wanagari,
05:05
who have been blindslijep for over 10 yearsgodina
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koji su slijepi već gotovo 10 godina
05:07
and never seenvidio her grandchildrenunuci,
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i nikada nisu vidjeli svoje unuke,
05:09
for lessmanje than 40 dollarsdolara, we can restorevratiti her eyesightvid.
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za manje od 40 dolara, možemo im vratiti vid.
05:12
This is something that has to happendogoditi se.
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Ovo je nešto što se mora dogoditi.
05:18
It's only in statisticsstatistika
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Samo statistički gledano
05:19
that people go blindslijep by the millionsmilijuni.
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milijuni tih ljudi postaje slijepo.
05:22
The realitystvarnost is everyonesvatko goeside blindslijep on theirnjihov ownvlastiti.
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Zapravo, sami postaju slijepi.
05:26
But now, they mightmoć just be
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Ali sada, možda su udaljeni samo
05:28
a texttekst messageporuka away from help.
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jednom porukom od pomoći.
05:30
(ApplausePljesak)
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(Pljesak)
05:37
And now because liveživjeti demosdemos are always a badloše ideaideja,
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Demonstracije uživo su uvijek loša ideja pa ćemo sada
05:39
we're going to try a liveživjeti demoogledni primjerak.
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izvesti primjer uživo.
05:41
(LaughterSmijeh)
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(Smijeh)
05:42
So here we have the Peek-Pogled VisionVizija appapp.
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Ovdje imamo Peek Vision aplikaciju.
05:52
Okay, and what we're looking at here,
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Ono u što gledamo sad,
05:54
this is Sam'sSam je opticoptički nerveživac,
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to je Samin optički živac,
05:56
whichkoji is a directdirektno extensionnastavak of her brainmozak,
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koji je direktna veza s njezinim mozgom,
05:58
so I'm actuallyzapravo looking at her brainmozak as we look there.
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i sada, zapravo, gledam njezin mozak.
06:01
We can see all partsdijelovi of the retinaMrežnica.
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Vidimo sve dijelove mrežnjače.
06:04
It makesmarke it possiblemoguće to pickodabrati up diseasesoboljenja
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Moguće je pronaći bolest
06:07
of the eyeoko and of the bodytijelo
150
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2167
oka ili dijelova tijela
06:09
that would not be possiblemoguće withoutbez accesspristup to the eyeoko,
151
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2529
koje ne bi bilo moguće ustanoviti bez pristupa oku,
06:12
and that clip-onClip-on deviceuređaj can be manufacturedproizvedeni
152
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1935
a uređaj sa dodatkom može se proizvesti
06:13
for just a fewnekoliko dollarsdolara,
153
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1550
za samo nekoliko dolara,
06:15
and people can be curedizliječen of blindnessslijepilo,
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i ljude se može izlječiti od sljepoće.
06:17
and I think it sayskaže a lot about us as a humanljudski raceutrka
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Smatram da to mnogo govori o nama kao ljudskoj rasi
06:20
if we'veimamo developedrazvijen cureslijekove and we don't deliverdostaviti them.
156
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2525
ako razvijemo lijek i ne dajemo ga bolesnima.
06:22
But now we can.
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Ali sada možemo.
06:24
Thank you.
158
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Hvala vam.
06:26
(ApplausePljesak)
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(Pljesak)
Translated by Marinela Zagorscak
Reviewed by Ivan Stamenkovic

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ABOUT THE SPEAKER
Andrew Bastawrous - Eye surgeon, inventor
Andrew Bastawrous studies eye health -- and builds accessible new tools to bring eye care to more people.

Why you should listen

Andrew Bastawrous is cofounder and CEO of Peek Vision, a social impact organization that uses smartphone technology to radically increase access to eye care in some of the most challenging places in the world. Bastawrous is also an ophthalmologist (eye surgeon) and Associate Professor in International Eye Health at the London School of Hygiene and Tropical Medicine.

Peek's vision app, Peek Acuity, is being used to transform eye health in more than 150 countries. The organization ran one of the top-ten all-time Indiegogo crowd-funding campaigns in the health sector -- for Peek Retina, a smartphone ophthalmoscope -- and was voted "best social-impact start-up in Europe" by Google and McKinsey in 2016. All prize money has been re-invested in Peek.

Bastawrous is working with astrophysicists to crowdsource retinal data; with National Geographic explorers to reach isolated communities; and with artists and activists to advocate for eye care globally. He and his wife Madeleine have established a social enterprise healthy bakery in Kenya that provides employment, with profits paying for eye care.

In 2018, Bastawrous was invited to deliver the Commonwealth Address in the presence of the British Royal Family, where he announced the creation of a new one-billion-dollar Vision Catalyst Fund -- a new vision for international aid.

More profile about the speaker
Andrew Bastawrous | Speaker | TED.com

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